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Nonprofiteer
← COAL COUNTRY COMMUNITY HEALTH CENTER

Form 990 for tax year 2023

Filed by COAL COUNTRY COMMUNITY HEALTH CENTER.

Totals

Total revenue
$16,026,803
Total expenses
$17,396,447
Contributions and grants received
$3,326,081
Grants paid
$0
Program service revenue
$12,633,404
Investment income
$0
Other revenue
$67,318
Total assets, end of year
$15,618,101
Total liabilities, end of year
$4,459,122
Net assets or fund balances, end of year
$11,158,979
Program services expenses (Part IX)
$14,713,873
Management and general expenses
$2,682,574
Fundraising expenses
$0
Program service expenses (Part III)
$14,713,873

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $3,158,181

  • 1f · All other contributions, gifts and grants

    $167,900

  • 2a · Program service revenue: Patient Service Revenue

    total $8,359,513 · related or exempt $8,359,513

  • 2b · Program service revenue: 340B Program Revenue

    total $3,718,303 · related or exempt $3,718,303

  • 2c · Program service revenue: Other Program Revenue

    total $555,588 · related or exempt $555,588

  • 6a · Gross rents

    real property $67,318

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $67,318

  • 6d · Net rental income or loss

    total $67,318 · excluded $67,318

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $444,835 · management and general $444,835

  • 6 · Compensation of disqualified persons

    total $56,533 · program services $56,533

  • 7 · Other salaries and wages

    total $8,417,891 · program services $7,825,199 · management and general $592,692

  • 8 · Pension plan contributions

    total $310,471 · program services $235,519 · management and general $74,952

  • 9 · Other employee benefits

    total $1,092,619 · program services $859,038 · management and general $233,581

  • 10 · Payroll taxes

    total $612,051 · program services $434,758 · management and general $177,293

  • 11b · Fees: legal

    total $14,694 · management and general $14,694

  • 11c · Fees: accounting

    total $71,868 · management and general $71,868

  • 11g · Fees: other

    total $2,184,089 · program services $1,966,613 · management and general $217,476

  • 12 · Advertising and promotion

    total $74,071 · management and general $74,071

  • 13 · Office expenses

    total $673,693 · program services $563,007 · management and general $110,686

  • 16 · Occupancy

    total $709,656 · program services $535,575 · management and general $174,081

  • 17 · Travel

    total $105,056 · program services $63,355 · management and general $41,701

  • 19 · Conferences, conventions and meetings

    total $37,613 · program services $9,156 · management and general $28,457

  • 20 · Interest

    total $30,664 · program services $30,664

  • 22 · Depreciation, depletion and amortization

    total $991,999 · program services $925,502 · management and general $66,497

  • 23 · Insurance

    total $68,641 · program services -$6,000 · management and general $74,641

  • 24a · Other expenses: Medical Supplies

    total $1,142,199 · program services $1,142,199

  • 24b · Other expenses: Dues & Subscriptions

    total $54,121 · program services $10,296 · management and general $43,825

  • 24c · Other expenses: Licenses

    total $37,449 · program services $36,235 · management and general $1,214

  • 24e · All other expenses

    total $266,234 · program services $26,224 · management and general $240,010

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $6,726,159 · end of year $6,243,818

  • 4 · Accounts receivable

    beginning of year $1,663,867 · end of year $1,577,364

  • 7 · Other notes and loans receivable

    beginning of year $12,963 · end of year $9,711

  • 8 · Inventories for sale or use

    beginning of year $83,307 · end of year $97,529

  • 9 · Prepaid expenses and deferred charges

    beginning of year $240,426 · end of year $166,269

  • 10a · Land, buildings and equipment: cost or other basis

    $12,636,407

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,306,475

  • 10c · Land, buildings and equipment, net

    beginning of year $7,993,781 · end of year $7,329,932

  • 15 · Other assets

    beginning of year $469,349 · end of year $193,478

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,232,718 · end of year $1,345,802

  • 23 · Secured mortgages and notes payable

    beginning of year $3,428,511 · end of year $3,113,320

  • 27 · Net assets without donor restrictions

    beginning of year $12,528,623 · end of year $11,158,979

Mission and programs · 2023

Mission

Working together as partners to enhance the lives of area residents by providing a neighborhood of patient centered healthcare services that promote wellness, prevention and care coordination.

Activities or mission (Part I)

CCCHC provides and promotes quality health care to the medically underserved population in the North Dakota counties of Mercer, Dunn, and Oliver.

  • Coal Country Community Health Center is part of a family of over 1,400 health centers nationally that provide care to more than 32 million people in the United States. Community health centers are local, non-profit health care providers serving low income and medically underserved communities. Also known as Federally-Qualified Health Centers (FQHCs), they are located in areas where care is needed, and improve access to care for millions of Americans. Their costs of care rank among the lowest, and their focus on prevention reduces the need for more expensive in-patient and specialty care, saving billions of dollars for taxpayers. (Continued on Schedule O)The focus of the care we provide can be summed up in one word - community. Coal Country is governed by a board of members from the communities we serve, and every decision they make has the best interest of the community in mind. Our medical staff and support staff are also your neighbors, helping us truly understand you and the health care issues that are important to you.The team of providers delivers primary care for the entire community. Funded by a federal grant, our sliding fee scale allows patients to pay according to their individual ability. This and other efforts ensure that no one in the community goes without proper health care services. That's what we're all about.Coal Country Community Health Center has clinics in Beulah, Center, Hazen, and Killdeer. Furthermore, Coal Country remains a member of health care networks in the region.At Coal Country Community Health Center, our top priority is to provide complete health care services for the entire community.With a background in every area of medicine, our primary care physicians provide continuing and comprehensive care, from preventative care to diagnosis and treatment of health conditions. A full list of services provided by Coal Country Community Health Center can be obtained at www.coalcountryhealth.comCCCHC opened a seasonal school medical clinic located in Killdeer and Hazen School Districts. Services began in the Spring 2023 and will continue annually September through May indefinitely.

    Expenses $14,713,873 · Revenue $12,633,404

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Aaron Garman MD

    Physician

    Total calculated
    $395,088
    From this org
    $343,920
    From related orgs
    $0
    Other
    $51,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $282,850
    Bonus
    $59,828
    Other
    $1,242
    Deferred
    $11,146
    Nontaxable benefits
    $41,442
    Filer's total
    $396,508

  • Michelle Placke

    Physician

    Total calculated
    $350,396
    From this org
    $301,570
    From related orgs
    $0
    Other
    $48,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $237,318
    Bonus
    $63,648
    Other
    $604
    Deferred
    $12,305
    Nontaxable benefits
    $37,940
    Filer's total
    $351,815

  • Jacinta-Jon Klindworth MD

    Physician

    Total calculated
    $339,762
    From this org
    $288,401
    From related orgs
    $0
    Other
    $51,361
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,269
    Bonus
    $53,890
    Other
    $1,242
    Deferred
    $11,257
    Nontaxable benefits
    $41,523
    Filer's total
    $341,181

  • Ann Ruffo

    Physician

    Total calculated
    $293,793
    From this org
    $250,165
    From related orgs
    $0
    Other
    $43,628
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,314
    Bonus
    $33,164
    Other
    $7,687
    Deferred
    $9,103
    Nontaxable benefits
    $35,841
    Filer's total
    $295,109

  • Kelsey Wiseman

    Physician

    Total calculated
    $288,158
    From this org
    $249,509
    From related orgs
    $0
    Other
    $38,649
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,850
    Bonus
    $46,299
    Other
    $360
    Deferred
    $8,739
    Nontaxable benefits
    $31,225
    Filer's total
    $289,473

  • Brian Williams

    CEO (Admin Leave May-Aug)

    Total calculated
    $255,402
    From this org
    $219,575
    From related orgs
    $0
    Other
    $35,827
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,258
    Bonus
    $6,000
    Other
    $1,317
    Deferred
    $8,939
    Nontaxable benefits
    $27,765
    Filer's total
    $256,279

  • Darrold Bertsch

    Interim CEO

    Total calculated
    $173,805
    From this org
    $173,805
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,805
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $173,805

  • Victoria Oberlander

    CFO

    Total calculated
    $161,694
    From this org
    $128,958
    From related orgs
    $0
    Other
    $32,736
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $113,738
    Bonus
    $15,000
    Other
    $220
    Deferred
    $5,706
    Nontaxable benefits
    $27,672
    Filer's total
    $162,336

  • Kurt Waldbillig

    CEO (Oct-April)

    Total calculated
    $68,077
    From this org
    $57,172
    From related orgs
    $0
    Other
    $10,905
    Hours/week
    40

  • Dr DJ Erickson

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Kathy Kelsch

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Heidi Moore

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Fred Stern

    Director

    Total calculated
    $0
    Hours/week
    1

  • Anna Mae Batke

    Director

    Total calculated
    $0
    Hours/week
    1

  • Myria Perry

    Director

    Total calculated
    $0
    Hours/week
    1

  • Wayne Hoffner

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sharon Rud

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sarah Duttenhefner

    Director

    Total calculated
    $0
    Hours/week
    1

  • William Suter

    Director

    Total calculated
    $0
    Hours/week
    1

  • Brian Nolan

    Director (Began June 2023)

    Total calculated
    $0
    Hours/week
    1

  • Carl Blackhurst

    Director (Until May 2023)

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part II:
Brian Williams was an employee of Coal Country Community Health Center (CCCHC) and also provided services to Sakakawea Medical Center (SMC). Brian was paid on administrative leave until August. The compensation reported in Part VII, and Part II of the Schedule J, reflects total compensation Brian received from CCCHC for services to both SMC and CCCHC. 49% of his compensation was reimbursed by SMC as part of a shared services agreement. Darrold Bertsch served as the interim CEO until Kurt Waldbillig took over in October. Darrold and Kurt both also provided services to SMC. The compensation reported in Part VII and Part II of the schedule J, reflects total compensation Darrold and Kurt received from CCCHC for services to both SMC and CCCHC. 49% of Darrold and Kurt's compensation was reimbursed by SMC as part of a similar share services agreement.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
11 December 2024
IRS schema version
2023v5.1
Source object
202403469349300410

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